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y <br /> / , , <br /> Applicalion For Dale 8-25-99 <br /> � PUBLIC WORKS PERI'JiiIT �,/���,n�_I <br /> Public .Y�rks Permit q ,�1 t/ ! <br /> PUBLIC WORKS DEPART�AENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425) 25'i-8A10 Building Permit # B9908-053 <br /> MAR 0 2 2000 <br /> TYPE OR PRiNT ONLY TO POST!�!� Public Works Fee 5 <br /> Hill Street Investment PO Box 5459 Everett 987_06 425 259 4<<55 <br /> Ow.ner MailingAddress C'y Zip Phone <br /> Owner <br /> Applicant Mailing Address Ciry 2ip Phone <br /> Describe Proposed Work new building _ � <br /> � <br /> _� <br /> V'/ <br /> — —3 StH <br /> PROJECTADDRESS (if known) 2425 �fi St � <br /> Auach lour(4)copies plans for proposed work-Draw to scale and note the tollowing if applicable: � <br /> •Property Lines •Outline and dimensions of all exisling and proposed sWctures on Ihe iot •Existing and proposed utiliGes � <br /> •Cen�erline of slree� •Indicate Nohh •Show any proposed gradinq changes •Show measuremer�ls <br /> DO NOT WRITE BELOW THIS LINE � <br /> PEflMIT CONDITIONS: � <br /> 1. All calls for inspection shail be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be periormed in accordance with this permit and current City of Everett Design and � <br /> Construction Stanoards and Speci!ications. <br /> 3. Call Location Underground Service •18 hrs. before you dig. TOLL FREE NUMBER 1-800-424-So55. �/9 <br /> ai� <br /> d, �`��� p� �' ?ni,���e�� P �;��s d/r�� lo�zo�1�1 . � <br /> ; � <br /> � ACKNOWLEDGEMENT OF CONUITIONS <br /> �( ' �/J/ � The undersipned mmedapplicant hereby agrees to hold and savc harmless <br /> ��/- � � G �Qlz/ �/G tha,City of Evorett irom any and all clalms lor damagos,costs,ezpenses,or <br /> ppmve o nstmc� n a e — causes action that may arise because of installation and mainlenance of the <br /> - improv me or olher ng -o4way usa hereto applied(or and further agrees to <br /> 'r-1 � -UU mov same pon notice om the ity a to replaca public property dam- <br /> l' ��— . —�� a ed t reby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed . �_ �. — � <br /> igna ure o pp ican a e <br /> WGRKAUTHORIZED BY7HIS PERMR MUST BE STHHTED WIhiIN 180 DAYS OF DATE PEFlMR IS ISSUED AND THEREAFZER ISTO BE DILIGENTLY PURSUED?0 <br /> COMPLEfION.THIS PERMR MAY BE CANCELLED BY THE CfTY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS W RAT10N. <br />